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Testing Not Enough, Scientists Examine Sewage To Gauge Spread Of Coronavirus

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Given that most Indians are unlikely to be tested for COVID-19, scientists are taking a cue from the country’s surveillance programme for polio and turning to sewage to get a clearer snapshot of how many people are infected with the coronavirus.

Wastewater epidemiology is a valuable tool to monitor the spread of the novel coronavirus in communities, said Manish Kumar of the Indian Institute of Technology in Gandhinagar who is working with an international team of collaborators on the project.

The wastewater-based epidemiology (WBE) global collaboration comprises over 50 institutes and researchers headed by Kyle James Bibby of the University of Notre Dame in the US.

The group is coordinating sampling and analytical protocols as well as data-sharing so that results obtained can be compared on a global scale.

“The current testing method is not enough to tell the exact situation of the coronavirus infection in India. Even if the people show symptoms for novel coronavirus,it will take three to 15 days actually to detect it,” Kumar, assistant professor at the Department of Earth Sciences, said.

“That is too late. That’s why we thought, how about wastewater epidemiology, using wastewater to check if there is coronavirus genetic material or not,” said Kumar.

He said India’s polio monitoring system, which uses a similar surveillance method, could come handy in the fight against coronavirus.

According to Masaki Kitajima, a world renowned environmental virologist from Japan’s Hokkaido University, the presence of genetic material of novel coronavirus provides an opportunity to use wastewater as a surveillance tool for the “invasion, prevalence, molecular epidemiology, and potential eradication of the virus in a community”.

“The magnitude of COVID-19 spread is such that it provides us an opportunity for interdisciplinary coordination on a global scale to multiply the impacts of individual efforts. Kumar’s team at IITGN has been a key member in this effort,” Kitajima, lead author of said.

It is a published fact that if somebody is infected with the novel coronavirus, they will excrete it through their body, in the form of faeces and urine, which in turn can be detected in wastewater, Kumar added.

In a study published last week in the journal Science of the Total Environment, researchers highlighted the economic advantages of the approach over conventional disease testing and epidemiological surveillance.

“Our results show that exclusive reliance on testing of individuals is too slow, cost-prohibitive and in most places, impractical, given our current testing capacity,” said Rolf Halden, a professor at the Arizona State University (ASU) in the US, who was a part of the research team.

“However, when preceded by population-wide screening of wastewater, the task becomes less daunting and more manageable,” he said. However, the research indicates that careful calibration must be carried out to ensure the accuracy of data, which is acutely sensitive to key variables, including seasonal temperature, average in-sewer travel time, degradation rates of biomarkers, community demographics and per-person water use.

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The Nipah virus is considered one of the deadliest zoonotic infections globally, not because it spreads rapidly like influenza or COVID-19, but because of its extremely high fatality rate, rapid progression, and severe brain involvement. Medical experts warn that once symptoms escalate, the disease can turn fatal within days. According to available data, the case fatality rate of Nipah virus ranges between 50 and 75 per cent, placing it among the most lethal viral infections known to humans. In this explainer, Dr Dip Narayan Mukherjee, Consultant – Microbiology and Infectious Diseases, CK Birla Hospitals, CMRI, sheds light on why the virus is so dangerous and difficult to control. Why Is the Nipah Virus So Deadly? According to Dr Mukherjee, Nipah’s lethality lies in a combination of delayed symptom recognition, aggressive disease progression, and early involvement of the brain. “Nipah virus often begins with very non-specific symptoms, which makes early detection difficult. By the time it is clinically suspected, the virus may have already affected the brain,” he explains. Early Symptoms Often Go Unnoticed One of the biggest challenges in controlling Nipah virus is that its initial symptoms closely resemble common viral illnesses, leading to delays in diagnosis and isolation. Early symptoms include: Fever Headache Cough Muscle pain General weakness “These symptoms are easily mistaken for flu, viral fever, or respiratory infections,” says Dr Mukherjee. “This delay gives the virus time to progress silently.” Severe Brain Infection Drives High Mortality The most dangerous aspect of Nipah virus infection is its neurological involvement. The virus frequently causes encephalitis, or inflammation of the brain, which significantly increases the risk of death. Neurological symptoms may include: Seizures Confusion and altered consciousness Extreme drowsiness Coma “Once the central nervous system is involved, the disease becomes very difficult to manage,” Dr Mukherjee notes. “At this stage, treatment is largely supportive because there is no specific antiviral therapy available.” This lack of targeted treatment options makes early detection critical. Human-to-Human Transmission Raises Risk While Nipah virus is primarily transmitted from fruit bats, it can also spread from person to person, particularly in healthcare settings. Dr Mukherjee points out that: Caregivers and healthcare workers are at higher risk Exposure to high viral loads can worsen outcomes Inadequate infection control increases transmission risk “Strict adherence to infection control practices is essential. Even a small lapse can result in secondary infections,” he says. Zoonotic Nature Makes Exposure Hard to Predict Nipah virus is transmitted from fruit bats, either directly or through intermediate hosts such as pigs. This zoonotic pattern makes outbreaks unpredictable, especially in regions where humans, animals, and wildlife interact closely. Adding to the challenge: There is no approved vaccine Treatment options remain limited Isolation protocols must be strictly enforced What Can Reduce Nipah Fatalities? According to experts, early action remains the most effective defence against Nipah virus. Key measures include: Early isolation of suspected cases Strict use of personal protective equipment (PPE) Rapid escalation and referral to specialised centres Strong hospital infection control protocols “The earlier the virus is identified and contained, the better the chances of preventing severe disease and fatalities,” Dr Mukherjee emphasises. The Bottom Line Nipah virus continues to be a serious public health threat because of its high fatality rate, neurological complications, and lack of targeted treatment. Its ability to masquerade as a mild illness in the early stages makes vigilance crucial. Health experts stress that awareness, early suspicion, and strict infection control are currently the most powerful tools to reduce deaths linked to this deadly virus. As Dr Mukherjee concludes, “With Nipah, time is the most critical factor. Early recognition can save lives.”
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